Individual
DR. CONSTANCE JIN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
19 LIMESTONE DR STE 2, WILLIAMSVILLE, NY 14221-7091
(716) 675-6204
(716) 675-4841
Mailing address
19 LIMESTONE DR STE 2, WILLIAMSVILLE, NY 14221-7091
(716) 675-6204
(716) 675-4841
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
056481
NY
Other
Enumeration date
07/06/2011
Last updated
10/02/2019
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